JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ayesha |
| Age / Gender: | 30 Yrs / Female |
| Mobile: | 01641816407 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-2026-0097 |
| Billing Date: | 04-08-2026 01:21 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Sabbir
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray PNS (O.M View) | 800.00 |
| 2 | X-Ray Styloid Process B/V | 1,200.00 |
| Subtotal: | 2,000.00 BDT |
| Discount: | - 400.00 BDT |
| Grand Total: | 1,600.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature